{include "header.tpl"}

<link href="/css/bootstrap-switch.min.css" rel="stylesheet" media="screen">
<script src="/js/bootstrap-switch.min.js"></script>
<link rel="stylesheet" href="/css/skins/square/blue.css"/>
<script src="/js/icheck.min.js"></script>

<form id="domainForm" rel="ajax" method="post" action="/admin/Order/orderModify" enctype="multipart/form-data" class="form-horizontal" role="form" onsubmit="domainSubmit()">

    <div class="form-group form-group-sm">
        <label for="" class="col-sm-3 control-label">备注:</label>
        <div class="col-sm-5">
            <input type="text" id="remarks" name="remarks" value="{$data.remarks}" class="form-control" required/>
        </div>
    </div>
    <div class="form-group form-group-sm">
        <label for="" class="col-sm-3 control-label">状态:</label>
        <div class="col-sm-5">
            <label><input type="radio" value="1" name="status" {if $data.status eq 1} checked{/if}> 未处理</label>
            <label><input type="radio" value="2" name="status" {if $data.status eq 2} checked{/if}> 已联系</label>
        </div>
    </div>

    <div class="form-group form-group-sm">
        <label for="" class="col-sm-3 control-label">&nbsp;</label>
        <div class="col-sm-3">
            <input type="hidden" name="id" value="{$smarty.get.id}"/>
            <button type="submit" class="btn btn-primary">提交</button>
        </div>
    </div>
</form>

<script type="text/javascript">


</script>
{include "footer.tpl"}